Retreat Registration | Sauganash Study Center

Personal Information

Name*

First Last

Retreat Date*

Which retreat will you attend?

Address*

Street Address City State ZIP Code

Home Phone Number*

Cell Phone Number

Phone Number of Parent (emergency use only)*

Student Email Address*

Parent Email Address*

School*

Year in School*

Do you need a ride to Shellbourne and back?*

We will have a van driving from Sauganash to Shellbourne and back.

Reference*

Who recommended this retreat to you?

Payment*

The full cost of the retreat is $125.

Comments

Please include any medical or dietary needs.